Individual
MS. CATHERINE LEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MSW, LCSW
Contact information
Practice address
629 ELSMERE PARK, LEXINGTON, KY 40508-1405
(859) 225-3812
Mailing address
629 ELSMERE PARK, LEXINGTON, KY 40508-1405
(859) 225-3812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-3420
KY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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